Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
CHEMODENERV 1 EXTREMITY 1-4
Beeville, TX
See all hospitals reporting CPT 64642 →Price type
Spohn Hospital Beeville’s median price of $701 is 12% below the median hospital's median price ($794), higher than 38% of the 1,954 hospitals reporting CPT 64642. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 32 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare chip km fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | UnitedHealthcare star kids km fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 3 | UnitedHealthcare star km fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 4 | UnitedHealthcare star plus km fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 5 | Bcbs Tx star chip km fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 6 | Molina chip km fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 7 | Molina star km fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 8 | Molina star plus km fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 11 | Bcbs Tx heb fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 13 | Cigna new business case rate · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 14 | Bcbs Tx traditional fee schedule · outpatient | $154 | $154 | — | — | — | $154 – $154 |
| 15 | Cigna ppo case rate · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 16 | Humana choicecare other · outpatient | $208 | $208 | — | — | — | $208 – $208 |
| 17 | Aetna mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 18 | Bcbs Tx mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 19 | Humana bh mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 20 | Humana gold choice mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 21 | Humana gold plus mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 22 | Molina medicare adv mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 23 | UnitedHealthcare mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 24 | WellCare mm fee schedule · outpatient | $701 | $701 | — | — | — | $701 – $701 |
| 25 | Devoted mm fee schedule · outpatient | $757 | $757 | — | — | — | $757 – $757 |
Last updated: Jan 13, 2026
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